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    Lal Bihari

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    Lal Biharee Pandey
    Lal Bihari Pandey has applied for the Joint Entrance Examination (Main) 2019 to be held in computer-based format in English. His first choice for exam city is Aligarh, followed by Agra, Delhi, and Mathura. He is a male student from Uttar Pradesh who passed class 12th from a private school in Aligarh in 2019 and whose parents have an annual income of up to 100,000 rupees. He paid an examination fee of 500 rupees via electronic payment gateway on September 20, 2018.

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    Lal Bihari

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    Lal Biharee Pandey
    47 views1 page
    Lal Bihari Pandey has applied for the Joint Entrance Examination (Main) 2019 to be held in computer-based format in English. His first choice for exam city is Aligarh, followed by Agra, Delhi, and Mathura. He is a male student from Uttar Pradesh who passed class 12th from a private school in Aligarh in 2019 and whose parents have an annual income of up to 100,000 rupees. He paid an examination fee of 500 rupees via electronic payment gateway on September 20, 2018.

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    Lal Bihari Pandey has applied for the Joint Entrance Examination (Main) 2019 to be held in computer-based format in English. His first choice for exam city is Aligarh, followed by Agra, Delhi, and Mathura. He is a male student from Uttar Pradesh who passed class 12th from a private school in Aligarh in 2019 and whose parents have an annual income of up to 100,000 rupees. He paid an examination fee of 500 rupees via electronic payment gateway on September 20, 2018.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    47 views1 page

    Lal Bihari

    Uploaded by

    Lal Biharee Pandey
    Lal Bihari Pandey has applied for the Joint Entrance Examination (Main) 2019 to be held in computer-based format in English. His first choice for exam city is Aligarh, followed by Agra, Delhi, and Mathura. He is a male student from Uttar Pradesh who passed class 12th from a private school in Aligarh in 2019 and whose parents have an annual income of up to 100,000 rupees. He paid an examination fee of 500 rupees via electronic payment gateway on September 20, 2018.

    Copyright:

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    Joint Entrance Examination (Main) 2019

    NATIONAL TESTING AGENCY


    CONFIRMATION PAGE

    Application No. 190310542473


    DO NOT SEND THIS PAGE TO NATIONAL TESTING AGENCY(NTA).
    CANDIDATES ARE REQUESTED TO RETAIN THE PRINTOUT OF CONFIRMATION PAGE FOR FUTURE REFERENCE.

    Personal Details
    Name: LAL BIHARI PANDEY Date of Birth: 07/09/2001
    Mother's Name: POONAM PANDEY Category: GENERAL
    Caste Name: NA Father's Name: NAGENDRA PANDEY
    Person with Disability(PwD): NO State of Eligibility: UTTAR PRADESH
    Percentage of Disability: -- Gender: MALE
    Are you Diabetic: NO Nationality: INDIAN
    Place of Residence: URBAN Do you need scribe: NO

    Examination Details
    Applying For: JEE(Main) Paper - 1 (B.E./B.Tech.) Only
    Mode of Examination: COMPUTER BASED EXAMINATION Question Paper Medium: ENGLISH
    1st Choice of Exam City: ALIGARH 2nd Choice of Exam City: AGRA
    3rd Choice of Exam City: DELHI 4th Choice of Exam City: MATHURA

    Academic Details
    Year of passing class 10th: 2017 Place of 12th class schooling: CITY
    Year of Passing or Appearing class 12th/Qualifying Exam: 2019 Type of Institution of Class 12th/Qualifying Exam: PRIVATE
    School Board of class 12th/Qualifying Exam: CENTRAL BOARD OF SECONDARY EDUCATION
    Name of the Qualifying Exam passed / appearing: The final examination of the 10+2 system, conducted by any recognized central/ state Board, such as Central
    Board of Secondary Education, New Delhi; Council for the Indian School Certificate Examinations, New Delhi;
    etc.
    Percentage of Marks in Class 12th/Qualifying Exam: -- Roll No. of Class 12th/Qualifying Exam: --
    Appeared/Appearing for Improvement of Class NO Mode of preperation: SELF STUDY
    12th/Qualifying Exam:
    Roll Number of Class 12th/Qualifying Exam of --
    Improvement Exam:
    Name and Address of the School/College from where ALIGARH PUBLIC SCHOOL UNIVERSITY ROAD ALIGARH
    passed/appearing:

    Candidate's Mailing Address


    Country: India State: UTTAR PRADESH
    District: ALIGARH Address: C/O GAUR CLINIC GAUR NAGAR ITI ROAD
    Locality: ALIGARH City/Town/Village: ALIGARH
    Pin Code: 202001 Email Address: lal*******@gmail.com
    Mobile Number: 705****339

    Guardian Details
    Qualification Occupation Annual Income
    Father's/Guardian's: ILLITERATE SELF EMPLOYMENT UPTO 100000
    Mother's: ILLITERATE OTHERS UPTO 100000

    Payment Details
    Provider Name: State Bank of India (MOPS) Payment Mode: Electronic Payment Gateway
    Fee Type: Examination Fee Transaction Amount: 500 /-
    Transaction ID: CPJ9428914 Date of Transaction: 20/09/2018 13:46:24
    DECLARATION
    I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief.
    Images Uploaded by Candidate
    Candidate Photograph Candidate Signature

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